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  5. COMMUNITY REHAB ASSOCIATES, INC.

COMMUNITY REHAB ASSOCIATES, INC.

Headquarter

Company Details

Entity Name: COMMUNITY REHAB ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Nov 2000 (24 years ago)
Document Number: P00000108905
FEI/EIN Number 593684604
Address: 3950 3RD ST N, SUITE D, SAINT PETERSBURG, FL, 33703
Mail Address: 3950 3RD ST N, SUITE D, SAINT PETERSBURG, FL, 33703
ZIP code: 33703
County: Pinellas
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of COMMUNITY REHAB ASSOCIATES, INC., ALABAMA 001-033-249 ALABAMA
Headquarter of COMMUNITY REHAB ASSOCIATES, INC., MINNESOTA 76cda9dc-95d4-e011-a886-001ec94ffe7f MINNESOTA
Headquarter of COMMUNITY REHAB ASSOCIATES, INC., CONNECTICUT 1281627 CONNECTICUT
Headquarter of COMMUNITY REHAB ASSOCIATES, INC., CONNECTICUT 2654893 CONNECTICUT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649326034 2007-01-26 2020-08-22 3950 3RD ST N, SUITE D, ST PETERSBURG, FL, 337036123, US 3950 3RD ST N, SUITE D, ST PETERSBURG, FL, 337036123, US

Contacts
Phone +1 727-896-8086
Fax 7278961017

Authorized person
Name KELLY MCDONNELL
Role DIRECTOR-OWNER
Phone 7278968086

Taxonomy
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No
Taxonomy Code 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary No

Other Provider Identifiers
Issuer CITRUS HEALTHCARE
Number 110976
State FL
Issuer AMERIGROUP PROVIDER ID
Number 278346
State FL
Issuer BCBS OUT OF NETWORK
Number T0864
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2016 593684604 2017-10-10 COMMUNITY REHAB ASSOCIATES, INC. 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 8772684329
Plan sponsor’s address 3950 3RD STREET, NORTH, SUITE D, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-10
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2015 593684604 2016-10-12 COMMUNITY REHAB ASSOCIATES, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 8772684329
Plan sponsor’s address 3950 3RD STREET, NORTH, SUITE D, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2014 593684604 2015-10-12 COMMUNITY REHAB ASSOCIATES, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 8772684329
Plan sponsor’s address 3950 3RD STREET, NORTH, SUITE D, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing KARL SEXTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing KARL SEXTON
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2013 593684604 2014-07-16 COMMUNITY REHAB ASSOCIATES, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 8772684329
Plan sponsor’s address 3950 3RD STREET, NORTH, SUITE D, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2012 593684604 2013-10-11 COMMUNITY REHAB ASSOCIATES, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 8772684329
Plan sponsor’s address 3950 3RD STREET, NORTH, SUITE D, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2011 593684604 2012-04-06 COMMUNITY REHAB ASSOCIATES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 611000
Sponsor’s telephone number 7278968086
Plan sponsor’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123

Plan administrator’s name and address
Administrator’s EIN 593684604
Plan administrator’s name COMMUNITY REHAB ASSOCIATES, INC.
Plan administrator’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123
Administrator’s telephone number 7278968086

Signature of
Role Plan administrator
Date 2012-04-06
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-06
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2010 593684604 2011-06-30 COMMUNITY REHAB ASSOCIATES, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 7278968086
Plan sponsor’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123

Plan administrator’s name and address
Administrator’s EIN 593684604
Plan administrator’s name COMMUNITY REHAB ASSOCIATES, INC.
Plan administrator’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123
Administrator’s telephone number 7278968086

Signature of
Role Plan administrator
Date 2011-06-30
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-30
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2009 593684604 2010-10-21 COMMUNITY REHAB ASSOCIATES, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 7278968086
Plan sponsor’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123

Plan administrator’s name and address
Administrator’s EIN 593684604
Plan administrator’s name COMMUNITY REHAB ASSOCIATES, INC.
Plan administrator’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123
Administrator’s telephone number 7278968086

Signature of
Role Plan administrator
Date 2010-10-21
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-21
Name of individual signing KELLY MCDONNELL
Valid signature Filed with authorized/valid electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2009 593684604 2010-08-16 COMMUNITY REHAB ASSOCIATES, INC. 39
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 7278968086
Plan sponsor’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123

Plan administrator’s name and address
Administrator’s EIN 593684604
Plan administrator’s name COMMUNITY REHAB ASSOCIATES, INC.
Plan administrator’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123
Administrator’s telephone number 7278968086

Signature of
Role Plan administrator
Date 2010-08-16
Name of individual signing KELLY MCDONNELL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-16
Name of individual signing KELLY MCDONNELL
Valid signature Filed with incorrect/unrecognized electronic signature
COMMUNITY REHAB ASSOCIATES RETIREMENT PLAN 2009 593684604 2010-09-02 COMMUNITY REHAB ASSOCIATES, INC. 39
Three-digit plan number (PN) 001
Effective date of plan 2007-09-01
Business code 621340
Sponsor’s telephone number 7278968086
Plan sponsor’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123

Plan administrator’s name and address
Administrator’s EIN 593684604
Plan administrator’s name COMMUNITY REHAB ASSOCIATES, INC.
Plan administrator’s address 3950 3RD ST N STE D, ST PETERSBURG, FL, 337036123
Administrator’s telephone number 7278968086

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing KELLY MCDONNELL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-17
Name of individual signing KELLY MCDONNELL
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
MCDONNELL KELLY Agent 1153 42nd Avenue NE, ST PETERSBURG, FL, 33703

Owner

Name Role Address
MCDONNELL KELLY Owner 1153 42nd Avenue NE, SAINT PETERSBURG, FL, 33703

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000043734 CRA THERAPY ACTIVE 2022-04-06 2027-12-31 No data 3950 3RD ST N, SUITE D, ST PETERSBURG, FL, 33703

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-01-10 1153 42nd Avenue NE, ST PETERSBURG, FL 33703 No data
CHANGE OF MAILING ADDRESS 2008-01-08 3950 3RD ST N, SUITE D, SAINT PETERSBURG, FL 33703 No data
CHANGE OF PRINCIPAL ADDRESS 2004-04-12 3950 3RD ST N, SUITE D, SAINT PETERSBURG, FL 33703 No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-03-03
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3493237201 2020-04-27 0455 PPP 3950 3rd St., N., Ste. D, SAINT PETERSBURG, FL, 33703
Loan Status Date 2021-09-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 3234300
Loan Approval Amount (current) 3234300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 99098
Servicing Lender Name DFCU Financial
Servicing Lender Address 400 Town Center Dr, DEARBORN, MI, 48126-2753
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAINT PETERSBURG, PINELLAS, FL, 33703-0001
Project Congressional District FL-14
Number of Employees 280
NAICS code 561110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 123511
Originating Lender Name First Citrus Bank
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 3275769.93
Forgiveness Paid Date 2021-08-12

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Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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